علاج خراج الرئة المركزي أو القريب مع علامة المجرى الهوائي القصبي

References

DOI: 10.21037/jtd-23-1561

• ECD can be done for central and proximally located abscesses.
• The primary factor in choosing ECD over PTTD is the location of the abscess, and the presence of a bronchial airway leading to the abscess for successful ECD.
• Conservative management with systemic antibiotics is the standard treatment for lung abscess with a success rate in the range from 63–67%.
• If a patient continues to experience deterioration of clinical symptoms even after 7–14 days of intravenous antibiotic treatment, aspiration of the abscesses or evaluation for possible surgical resection or decortication is suggested.
• Clinical symptoms usually begin to improve within the first 4 days.
• If patients do not show clinical or radiological improvement over the first 7–14 days of starting antibiotic therapy, an invasive procedure may need to be considered for drainage and lavage of the abscess and to obtain a better microbiological specimen for cultures.

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